| J M Baldus, Inc | |
|
5200 Maywood Rd Mound MN 55364-1775 | |
| (763) 913-6292 | |
| Not Available |
| Full Name | J M Baldus, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5200 Maywood Rd, Mound, Minnesota |
| Authorized Official Name and Position | James Michael Baldus (PSYCHOLOGIST) |
| Authorized Official Contact | 7639136292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J M Baldus, Inc 3032 Highview Ln Mound MN 55364-9422 Ph: (763) 913-6292 | J M Baldus, Inc 5200 Maywood Rd Mound MN 55364-1775 Ph: (763) 913-6292 |
| NPI Number | 1730520172 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730520172 | NPI | - | NPPES |
| 6500552000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LP0796 (Minnesota) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LP0796 (Minnesota) | Secondary |
Stable Living Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6344 Rambler Ln, Mound, MN 55364 Phone: 952-240-1621 Fax: 952-472-0477 | |
Horsing Around Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6570 Game Farm Rd E, Mound, MN 55364 Phone: 612-889-2297 |